Hybrid Healthcare Agents (November Class)

UST; Taguig; Hybrid; PHP 400,000 - 600,000; Full time

Job summary

A leading customer service provider in Metro Manila seeks a Customer Service Associate to deliver excellent service via inbound calls. Candidates must have at least 1 year of experience in contact centers, preferably with healthcare knowledge. This role requires strong communication skills and attention to detail, with opportunities for hybrid work. Familiarity with MS Office and medical terminology is a plus.

Qualifications

• At least 1 year of contact center experience, with 6 months in healthcare.
• Knowledge of medical terminology and coding (CPT, HCPCS, ICD-9, ICD-10) is an advantage.

Responsibilities

• Receive and respond to inbound phone calls for customer assistance.
• Document all calls in ticketing and tracking systems.
• Act as a liaison between claims department and providers.

Skills

Excellent verbal and written communication skills

Attention to detail

Problem-solving skills

Education

High school degree

College level (advantage)

Tools

MS Office applications (Word, Excel)

Job description

Overview

The Customer Service Associate will provide exceptional customer service to UST customers via inbound Call Center Operations.

Responsibilities

• Receive and respond to inbound phone calls for customer assistance

• Respond to outbound phone call requests

• Document all calls in ticketing and tracking systems

• Respond to customer inquiries and provide data to customers within a required time frame

• Act as liaison between claims department and providers

• Research customer claims in the primary payor systems

• Ensure highest level of customer service on every call

• Perform other duties as assigned or necessary

• Maintain a full comprehensive understanding of the covered benefits, coding and reimbursement policies and contracts

Required Skills/Abilities

• High school degree required; college level an advantage

• At least 1 year of contact center experience with 6 months of healthcare experience

• Knowledge of physician practice and hospital coding, billing and medical terminology, CPT, HCPCS, ICD-9 and ICD-10 an advantage

• Excellent verbal and written communication skills.

• Good Attention to detail and problem solving skills

• Proficiency with MS Office applications, especially Word and Excel

• Amenable to training onsite and hybrid work setup once in production (McKinley)